Table 1.

World Endoscopy Organisation [WEO] categorization of potential causative factors for PCCRCs

WEO categorization of causative factorsExplanation of categoryN [%]
[a] Probable incomplete resection of previous dysplastic lesionProbable incomplete resection of a previously identified advanced adenoma from the same bowel segment as the subsequently diagnosed CRC, and there was no endoscopic/histological confirmation of complete resection0 [0.0%]
[b] Detected advanced lesion, not endoscopically resectedAn advanced adenoma was identified in the same bowel segment, and it was not endoscopically resected9 [40.9%]
[c] Possible missed advanced lesion with previous adequate examinationNo advanced adenoma was identified in the same bowel segment and there is evidence of caecal intubation [photo-documented or written in the report]; and bowel preparation was adequate8 [36.4%]
[d] Possible missed advanced lesion with previous inadequate examinationNo advanced adenoma was identified in the same bowel segment and there is no evidence of caecal intubation [photo-documented or written in the report]; and bowel preparation was inadequate3 [13.6%]
[e] Other, e.g. deviation from planned management pathwayDeviation from planned management pathway: non-compliant to recommended surveillance interval or patient postponed or declined colectomy recommended for advanced lesion9 [40.9%]
WEO categorization of causative factorsExplanation of categoryN [%]
[a] Probable incomplete resection of previous dysplastic lesionProbable incomplete resection of a previously identified advanced adenoma from the same bowel segment as the subsequently diagnosed CRC, and there was no endoscopic/histological confirmation of complete resection0 [0.0%]
[b] Detected advanced lesion, not endoscopically resectedAn advanced adenoma was identified in the same bowel segment, and it was not endoscopically resected9 [40.9%]
[c] Possible missed advanced lesion with previous adequate examinationNo advanced adenoma was identified in the same bowel segment and there is evidence of caecal intubation [photo-documented or written in the report]; and bowel preparation was adequate8 [36.4%]
[d] Possible missed advanced lesion with previous inadequate examinationNo advanced adenoma was identified in the same bowel segment and there is no evidence of caecal intubation [photo-documented or written in the report]; and bowel preparation was inadequate3 [13.6%]
[e] Other, e.g. deviation from planned management pathwayDeviation from planned management pathway: non-compliant to recommended surveillance interval or patient postponed or declined colectomy recommended for advanced lesion9 [40.9%]

PCCRC, post-colonoscopy colorectal cancer. Advanced adenoma = greater than 1 cm in size and/or villous and/or containing high-grade dysplasia.

Table 1.

World Endoscopy Organisation [WEO] categorization of potential causative factors for PCCRCs

WEO categorization of causative factorsExplanation of categoryN [%]
[a] Probable incomplete resection of previous dysplastic lesionProbable incomplete resection of a previously identified advanced adenoma from the same bowel segment as the subsequently diagnosed CRC, and there was no endoscopic/histological confirmation of complete resection0 [0.0%]
[b] Detected advanced lesion, not endoscopically resectedAn advanced adenoma was identified in the same bowel segment, and it was not endoscopically resected9 [40.9%]
[c] Possible missed advanced lesion with previous adequate examinationNo advanced adenoma was identified in the same bowel segment and there is evidence of caecal intubation [photo-documented or written in the report]; and bowel preparation was adequate8 [36.4%]
[d] Possible missed advanced lesion with previous inadequate examinationNo advanced adenoma was identified in the same bowel segment and there is no evidence of caecal intubation [photo-documented or written in the report]; and bowel preparation was inadequate3 [13.6%]
[e] Other, e.g. deviation from planned management pathwayDeviation from planned management pathway: non-compliant to recommended surveillance interval or patient postponed or declined colectomy recommended for advanced lesion9 [40.9%]
WEO categorization of causative factorsExplanation of categoryN [%]
[a] Probable incomplete resection of previous dysplastic lesionProbable incomplete resection of a previously identified advanced adenoma from the same bowel segment as the subsequently diagnosed CRC, and there was no endoscopic/histological confirmation of complete resection0 [0.0%]
[b] Detected advanced lesion, not endoscopically resectedAn advanced adenoma was identified in the same bowel segment, and it was not endoscopically resected9 [40.9%]
[c] Possible missed advanced lesion with previous adequate examinationNo advanced adenoma was identified in the same bowel segment and there is evidence of caecal intubation [photo-documented or written in the report]; and bowel preparation was adequate8 [36.4%]
[d] Possible missed advanced lesion with previous inadequate examinationNo advanced adenoma was identified in the same bowel segment and there is no evidence of caecal intubation [photo-documented or written in the report]; and bowel preparation was inadequate3 [13.6%]
[e] Other, e.g. deviation from planned management pathwayDeviation from planned management pathway: non-compliant to recommended surveillance interval or patient postponed or declined colectomy recommended for advanced lesion9 [40.9%]

PCCRC, post-colonoscopy colorectal cancer. Advanced adenoma = greater than 1 cm in size and/or villous and/or containing high-grade dysplasia.

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